Active NPI
Vera Y. Soong, M.D.
- Dermatology Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 13000
- Practice address
- 817 Princeton Avenue S.W.
Pob II; Suite 302
Birmingham, AL 35211 - Phone
- (205) 781-6995
- Fax
- (205) 781-8783
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 13000 | AL | Primary |
Addresses
Primary practice location
817 Princeton Avenue S.W.
Pob II; Suite 302
Birmingham, AL 35211
Mailing address
817 Princeton Ave SW
Pob III; Suite 302
Birmingham, AL 35211-1333
Phone (205) 781-6995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000092979 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Louisiana State University School of Medicine in New Orleans, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011
Hospital & facility affiliations
- University of Alabama Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 988 |
| Removal or shaving of skin growth | 109 |
| Skin biopsy | 378 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13000 | AL | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| Baptist Health Centers LLC | Current | Accepting new patients | |
| Baptist Health Centers LLC | Current | Accepting new patients | |
| Baptist Health Centers, LLC | Current | Accepting new patients |
Locations
200 Beacon Pkwy W
Ste 330
Birmingham, AL 35209
1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849
817 Princeton Ave SW
Ste 302
Birmingham, AL 35211
Phone (205) 781-6995
619 19th St S
Birmingham, AL 35249
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
Interoperability endpoints
- vsoong@direct.uabmedicine.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Health Service Clinic/Center
- Winfield, AL
- NPI 1265496236
-
- Specialist
- Talladega, AL
- NPI 1669436721
-
- Internal Medicine Physician
- Talladega, AL
- NPI 1861456923
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1154435824
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275350400000",
"number": "1295829836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 PRINCETON AVE SW",
"address_2": "POB III; SUITE 302",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352111333",
"telephone_number": "205-781-6995",
"fax_number": "205-781-8783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 PRINCETON AVENUE S.W.",
"address_2": "POB II; SUITE 302",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35211",
"telephone_number": "205-781-6995",
"fax_number": "205-781-8783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOONG",
"first_name": "VERA",
"middle_name": "Y.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2010-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "AL",
"license": "13000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000092979",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.